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Collaborations/Coordination. STD Programs Immunization ( Hepatitis B Coordinator ). Laboratory Medical Services Surveillance. Hepatitis C Coordinator. Corrections HIV/AIDS Prevention Drug Treatment. Advocacy Groups; CBOs. State Plan.
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Collaborations/Coordination • STD Programs • Immunization (Hepatitis B Coordinator) Laboratory Medical Services Surveillance Hepatitis C Coordinator • Corrections • HIV/AIDS • Prevention • Drug Treatment Advocacy Groups; CBOs State Plan
Hepatitis C Coordinator Forum: Barriers and Issues Richard D Moyer, MPA Division of Viral Hepatitis Centers for Disease Control and Prevention Hepatitis Coordinator’s Conference 2003 San Antonio, TX
Hepatitis C Coordinator Funding- FY 2002 • 12 New States = $912,000 • High Award = $97,000 • Low Award = $53,000 • Average = $76,000 • Approx. 70 % of award = salary & fringe
Hepatitis C Coordinator’s Location Program No • HIV/AIDS/STD 15 • ID/Epidemiology 15 • Comm. Disease 10 • Other/unk 8 • Total 48
National Hepatitis C Prevention Strategy: Goals • Reduce the number of new HCV infections by reducing virus transmission. • Reduce risk of chronic liver disease in HCV-infected persons through appropriate medical management and counseling.
Hepatitis C Coordinators • A major goal of National Hepatitis C Prevention Strategy. • Fund every state and large metropolitan health dept. • Provide management, networking, and technical expertise for integration of HCV prevention and control activities into existing public health programs.
Hepatitis C Coordinator Activities • Identify opportunities to incorporate HCV counseling and testing • Ensure that health care professionals receive appropriate training • Develop capacity to provide HCV testing • Identify sources for medical referral of HCV positive persons • Ensure appropriate surveillance for HCV infection • Evaluate effectiveness of HCV prevention activities
What’s Working? • Partnering • Enthusiasm • Coordination/Collaboration/Advocacy • Good working relationships • Dedicated Staff • Getting the message out
What’s Working? • Getting on peoples’ agenda • Administrative buy-in • Integrating hepatitis messages/practices into HIV/STD • Piggy-backing HCV Screening into existing programs
What’s Not Working? • Integrating activities that fall upon staff resources • Getting into the school system • Giving hepatitis C education /HCV tests in STD clinics • Not having money for testing • Not having resources identified for patients who need care • Lack of DIS participation
What are the Barriers? • FUNDING • Testing • Treatment • Staffing • Case Management • Vaccine
Administrative Issues • Funding • Staffing
Technical Assistance Needs • Internet access for rural areas • Train the Trainer Workshops • Assistance with program development and implementation in corrections • Guidance on evaluating hepatitis prevention services and treatment • T.A. on how to deliver hepatitis education messages for differing audiences
Newsletter/Information Sharing • Newsletter would be helpful • List-serv
Other Issues/Recommendations/Suggestions • More collaboration for consolidating regional testing • Continued funding for adult vaccine is a must • Coordinators are struggling with limitations of not being a program • Integration of HCV counseling and testing into the perinatal program • BRFSS should clearly target HCV and associate risk factors for infection • Standardized (national) follow-up letter sent to clinicians/patients re risk behaviors, viral load, LFT’s
Conclusions • Programs are taking shape • Making progress with implementing the hepatitis C prevention strategy • Coordinators are qualified and motivated • Leveraging support (e.g., vaccines for high-risk populations • Networking is increasing